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INS''ECTION NOTICE
City of Tigard Building Department
13.0 Box 23397
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection _ ___A.
Date Requested Time A.M. ._ /� P.M.
Address U-- -)).?S L1 _ ~. "\Q Permit #
Owner LotBuilder
The
_
l
The followmd uildinr Co a deficiei;cies are required to be corrected:
i
t
Presented t0 pp
---- A roved
Inspertor LJ Disapproved
Date
CALL FOR REINSPECTION
❑ YES EJ NA
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
\ Phone: 639-4175
"Type of Inspection
,c
Date Requested Time
M. P.M.
Address ^i
'��— Permit
Owner J Lot
Builder
The followiA Building Code deficiencies are required to be corrected:
7
Presented to �
_ _
— / proved
Inspector __ _v .. ❑ Disapproved
Date
CALL FOR REINSPECTION
O YE! M 140
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time_t A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
..........
Presented to Approved
111spector Disapproved
Date
CALL FOR REINSPECTION
❑ Y E s FA NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection
Date Requested .� Time A.M. P.M.
Address ` ` Permit #
Owner Lot #,
Builder
The following Byilding Code deficiencies are required to be corrected:
zop-
Aw 7'�
of,
Presented to
70, pproved
Inspector _
— ---� �� blsahpruved
Date
CALL FOR REINSPECTION
0 YEs C] NO
INSPECTION NOTICE
City of Tigard Building Department
City
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Wipection
Date Requested )I Time- A.M.-P.M.
Address Permit
Owner
Lot
Builder
The following Elkii1ding Code deficiencies are required to be corrected:
Presented to
Ins"ator LI Disapproved
Date
CALL FOR REINSPECTjo
C-1 YES 0 No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested,-,
Address A.M.,L .P.M.
l "� < <'i���� r Permit vim, lr, �,
Owner
Lot #
Builder
--� —
The following Building Code deficiencies are required to be-corrected:
Presented to pproved
Inspector _
Disapproved
Date
CALL, FOR REINSPECTION
YES ❑ ISO
INSPECTION NOTICE
City of T;gard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection r e.s. 1 eirt-..1,�..�
Date Requested J /Z Time A.M.
Address Z. L �----_ Permit #tr.
Owner Lot 4k
i
Builder
The following Building Code deficiencies are required to be corrected:
Presented topproved
Inspector �� �� Disapproved
Dal L/
G U
CALL FOR REINSPECTION
C] YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972.23
Phone; 639-4175
Type of Inspection "'
Date Requested _ Z—"Z Q Time 1 l A.M. � P.M.
Address 13 ZrLY Permit # b 55�—
Owner "��� Lot #
Builder
The following Building Code deficiencies are required 'm be corrected:
Presented to U45proved
Inspeatot Ll Disapproved
Date
CALL FOR REINSPECTION
❑ YEt 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _
Date Requested Time_�..
/ P.M.
Address _ /37��7 ��rS pc Permit #_
Owner_ — Lot #_
Builder
The following Building Code deficiencies an quired to be cotrected:
♦.M
_-_ A
Presented to _7r _ 4W-%/
pprovsd
Inspector
[J Disapproved
Dat.
CALL FOR REINSPECTION
C] YES [:1 NO
v w w
CITY OF TIGARD MECHANICAL PERMIT Receipt# ---_-
Permit#
Description
City of Tigard
Table 3A Mechanical Code CITY PRICE AMT
—�
1312.5 S.W. Ifall Blvd. 5 2 1) Permit Fee -0- -0- 10.00
P O. Box 23397 —
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU
Incl.ducts&vents % 6.00
2) Furnace 100,000 BTU +
incl.ducts&vents 7.50
Name of Development 3) Floor Furnace 6.00
incl.vent
,lob Address 4) Suspended heater,wall heater 6.00
Addressi i z 8 �7 :,<<� or floor mounted heater
Tax Lot 2_S i J,"s' Map No. Vent not Incl.In
Lot )' , Block Subdivision 5) appliance permit 3.00
Name(or name of business) 6) Repair of heating,refr ig., 6.00
cooling,absorption unit
Owner Mailing Address Phone 7) Boiler or comp to 3 HP _ 8.00
absorp,unitto 100,000 ETU
city state Zip Boller or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11.00
Name 9) Boiler or Comp 15-30 HP
absorp.unit 1/2-1 million 15.00
Mailing Addross PhoneBoiler or comp to 30-50 HP
10) absorp,unit 1-1.75 million 22.50
Gontrector ary,state — Zip Boller or comp to 50 HP
11) absorp.unit 1,750,000 BTU 31.50
State Registration No. City Bus.Tax No. Air handling unit t0
12) 10,000 CFM 4.50
I hereby acknowledge that I have read this application that the Information given is 13) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are to 10,000 CFM +
compliance with state laws,that I am registered with the State Builders'Board,that the Non portable -
number given is correct.(If exempt from State registration please give t3ason below). 14) evaporate cooler 4,50
-- Vent fan connected
-- -.------.___—__ _-- -_-- — --- 15) to a single duct
3.00 �>
------------ _.-__-- — Ventilation system not
18) Included in appliance permit 4.50
Hood served b
___ )7) mechanical exhaust 4 .50 i
Signature(owner or agent) — Date Domestic type
Describe work L-1 addition U alteratlon f l repair (118) Incinerator 7.50
to be done residential 0 non-residential I I Commercial or industrial
Existing use of 19) type Incinerator 30.00
building or properly Other i.e.,woodstove,water
Proposed use of 20) heater,solar,clothes dryers,etc. 4.50
building or property 21) Gas piping one to four outlets t 2.00
' Type of fuel_. oil ❑ natural gas C I LPG I-7 electric L7 1
22) More than 4-per outlet
�TICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON SUB-TOTAL s
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE �
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER —
WORK IS COMMENCED. TOTAL
Special Condltio,ts
-- ----- -- _---- Date issued
6552
CITY OF TIGARD 639.4171
DATE
BUILDING PERMIT 1"obraur�__�19_67 _
TAX MAP 1-ii LC. 10. _3..-_-SUBDIVISIONS%�r�
OWNER Jay biller JOB ADDRESS _ 1.3214 Sk Chelsea 4000
--�-- -- -r- -
-�,,Z� C.7 ✓ ,L STATE REG.Nt
BUILDER s�a1Q �^ ,".�` � �, �.' 109 __. ---EXP.DATE 12•-lt5-e3f --
E'UILDER'S PHONE4-1 :1____ _—
AF.CHITECT--_----- - -...___ PHONE -_-__--OTHER .---
STRUCTURE 11-1 NEW !_I REMODEL Lj ADDITION REPAIR EI MOVE 1-1 OTHER D DEMOLITION
,t1 RESIDENCE ❑ COMM EDUCATION IND I RELIGIOUS ACCESSORY I ' GARAGE OTHER ( 1 FENCE
OCCUPANCY_LAND USE ZONE _ BLDG.TYPE FIRE ZONE-_PLAN CHECK RY +_ , HEAT
Lonatrmfir� a fawil, dwelliil-', wfnttaclleu kuu—' c. all L;er 'D Luruyed vlln: uyi�cC to t!� c��e.
RUSSUE Of 1107
SEWERPERMITN j3()Q1 (JdU) 2 bath. I) tripti ara,,e 41(., —
OCC.LOAD FLOOR LOAD 4U HEIGHT 11) NO.STORIES 1 AREA 1440NO.BEDROOMS'+ VALUE/4,0 U1)
BUILDING DEIIARTMUNT SET BACKS FRONT h)E •i.l,• REAR ,{ LEFT SIDE —_�'_RIGHT SIDE
Permit tel. 355•01 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40•W WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE COCES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Fire RESTRICTIVE COVENANTS. CONTP 1CTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERAIITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 4 4(J•tj('
-- SDC— 60000Q
Total APPLIGANTOR AGENT
Prepd. PDG 1 S`J•(lU
Receipt No.• � A-DDR€59
bal.Due
-----_-. __ 1«fblWl Issued By----- Approved By-----
NO i f , lyi d df rJM F�c`A lc-.o2 .t Ct e rS 8S T.t u C/7rso eev/Tjj 10'e CA 4-/ 4d?Zj'ss&
DATE INSP. TYPE INSPECTION REMARKS PLUMB NG DAT
7-F7 Contractor
Permit No.
Rough-in
J- o - Fixture
3-�6- Final —
3-16 'y'j l HEATING
3 zg_8 _ Contractor �aZIJ-11 R-7
Permit No V(,f,'
9-- 3- 37 _ Gas or Oil
Rough in
---- Final — -- --
-- SEWCR _---- -- -
Final
DRIVCWAY - -
— ---�--- --_— Final
--_------`— - __ Storm Drainage --
(Rain Drain)Final
--- ---— Sidewalk --J- _----
_ Curb 8 Sheet Final
Approach
BLDG,DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
TERTFICATE OCCUPANCY ---
Landscaping
----- ----- — ------------- - — ------------ Zoning Final ---- -- -----